Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Iowa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Siouxland Community Health Center (NPI 1558355305)

Field	Value
Entity Type	Organization
Organization	Siouxland Community Health Center
Address	1021 Nebraska St
City	Sioux City
State	IA
ZIP	51105
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 8, 2005

Payer Source	Total Paid
Medicaid	$87.6M
Medicare	$0

Key Findings

Medicaid revenue is the provider’s sole reported payer exposure: SIOUXLAND COMMUNITY HEALTH CENTER shows no Medicare billing on file and $87.6M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) operation for the available data. This concentration in Medicaid means changes to state Medicaid policy or rates would have outsized influence on the organization’s financial position.

Revenue is extremely concentrated in a handful of codes: the top three Medicaid codes account for 89.2% of total Medicaid revenue, led by T1015 at $60.4M (69.4% of Medicaid revenue), followed by D9999 at $12.4M (14.2%) and 99213 at $4.9M (5.6%). This level of concentration signals that a small set of encounter and E/M codes drive nearly all reported Medicaid earnings.

The code mix and FQHC taxonomy point to a primary‑care, bundled‑visit operating model: T1015 (Clinic visit/encounter, all‑inclusive) at 283.6K claims and G0467 (FQHC visit) at 20.1K claims together dominate revenue, consistent with federally qualified health center per‑encounter bundled billing. High-volume 99213 claims (186.6K) with modest per‑claim payment further indicate a large throughput of low‑complexity established outpatient visits as a core service line.

There is a substantial dental and preventive care footprint embedded in the Medicaid mix: high-volume dental codes such as D1206 (44.4K claims), D0120 (31K claims), D1120 (24.3K claims), D1351 (26.6K claims) and multiple restorative/extraction codes appear among top billings and are flagged as extreme outliers in-state. Although these dental codes individually contribute modest dollars compared with T1015, their claim volumes imply an operationally meaningful oral health program serving Medicaid populations.

Diagnostic and point-of-care testing volumes are elevated, suggesting on-site lab or testing capacity: 36415 (50.3K claims, $50.3K revenue), 87880 (25.4K claims, $76.1K revenue) and 87428 (12.8K claims, $127.8K revenue) rank at or near the top statewide for those codes. These patterns align with a high-throughput primary care clinic that provides in-house specimen collection and infectious disease testing alongside visits.

Competitive standing within Iowa is dominant on core FQHC codes: T1015 ranks #2 of 327 providers in-state and is described as an extreme outlier (100th percentile), S0280 (medical home program) ranks #1 of 18 (100th percentile; extreme outlier) and G0467 ranks #1 of 25 (100th percentile; extreme outlier). Those rankings and percentiles indicate SIOUXLAND COMMUNITY HEALTH CENTER is a major statewide provider for bundled FQHC visits and care‑coordination services.

Long tenure supports scale and market presence: the provider’s NPI was enumerated on 2005-09-08 (~21 years ago), indicating a long-established operation in Sioux City, IA. Longevity combined with the volume profile helps explain why this FQHC reaches extreme outlier status on multiple Medicaid codes.

The extreme revenue dependence on T1015 (69.4% of Medicaid revenue) and the top three codes collectively (89.2%) creates material operational and reimbursement concentration risk: shifts to the payment model, coding guidance, or state reimbursement rates for these bundled FQHC and E/M codes could materially affect overall revenue. The absence of Medicare offsets (no Medicare billing on file) means there is limited diversification to absorb Medicaid payment shocks.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

232 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	283,640	$210	$60.4M
D9999	N/A	57,930	$210	$12.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	186,560	$30	$4.9M
D0999	N/A	18,140	$250	$4.6M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	39,160	$40	$1.6M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	64,290	$20	$1.2M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	20,100	$30	$603K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	5,380	$50	$241.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	44,380	$1	$133.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	12,780	$10	$127.8K

Showing 1–10 of 232

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

Claims Volume vs. Iowa Distribution

Siouxland Community Health Center — 21 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. Iowa median

232 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	2	330	3,960	$170	$2.8M
D9999	N/A	2	40	6,850	$180	$2.7M
D0999	N/A	5	30	6,470	$210	$1.8M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	253	680	670	$70	$343.5K
D2930	N/A	44	80	850	$110	$217.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	37	40	310	$100	$162.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9	1,060	480	$40	$154.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	6	1,310	760	$20	$153.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	50	140	210	$120	$152.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	224	610	550	$70	$145.9K

Showing 1–10 of 232

Related Providers

Other providers that share a Tax Identification Number (TIN) with Siouxland Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heidi Hassler	SD	Physician Assistant	$119.8K	$0
Michael Jung	IA	Family Medicine Physician	$96K	$0
Christopher Wolf	IA	Family Medicine Physician	$52.8K	$0
Tauhni Hunt	IA	Obstetrics & Gynecology Physician	$16.9K	$0
Angela Aldrich	IA	Obstetrics & Gynecology Physician	$5.9K	$0
Tracey Pick	NE	Family Nurse Practitioner	$2.7K	$0
Alison Uhl	IA	General Practice Dentistry	$2.3K	$0

Nearby Providers

Other providers in the same ZIP code as Siouxland Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sioux City Community School District	IA	Local Education Agency (LEA)	$0	$14M
Family Access Center, Inc.	IA	Community/Behavioral Health Agency	$0	$9.1M
Prairie Pediatrics, PC	IA	Pediatric Cardiology Physician	$0	$6.4M
New Perspectives, Inc.	IA	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Siouxland Regional Transit System	IA	Bus	$0	$2.4M
Mark Carlson	IA	Internal Medicine Physician	$102.8K	$0
Kham Ung	IA	Foot & Ankle Surgery Podiatrist	$56.3K	$0
Diane Fitch	IA	Medical Physician Assistant	$22.9K	$0

Siouxland Community Health Center — Billing Profile & Reimbursement Data

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Siouxland Community Health Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References